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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Epidemiologi Kesehatan Komunitas (e-ISSN:2615-4854) provides publication of full-length papers, short communication and review articles describing of new finding or theory in epidemiology, health and life science and related areas. JEKK has 1 volume with 2 issues per year. This journal was published by the Master of Epidemiology, School of Postgraduate Studies, Diponegoro University.
Arjuna Subject : -
Articles 229 Documents
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Ultrasonography (USG) Accuracy in Diagnosing Breast Cancer; a Cross-sectional Study at Prima Medika General Hospital Denpasar Putu Dewi Ari Wulandari; I Bagus Gede Dharmawan
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.17158

Abstract

Background: Ultrasonography (USG) radiological examination can be an early detection of breast tumors before they develop into malignancy. The aim of our study was to determine the accuracy of USG examination in diagnosing breast cancer at Prima Medika Hospital.Methods: We conducted a cross-sectional study from January to December 2021 at Prima Medika Hospital Denpasar in patients who had symptoms of breast cancer had breast USG examinations and biopsy examinations of 51 samples. We collected data by tracing medical records and in descriptive analysis and cross-tabulation analysis to determine the sensitivity, specificity, positive predictive values and negative predictive values.Results: 72.5% of 51 patients were over 36 years old, 47.1% symptoms of a lump in their left breast. USG examination in detecting breast cancer has a sensitivity of 90.9%, a specificity of 93.1% then a positive predictive value of 92.9% and a negative predictive value of 90.1%.Conclusion: USG examination has a high accuracy in diagnosing breast cancer. Radiology specialists are expected to use USG examination as an early detection tool before conducting a histopathological gold standard examination.
Analisis Risiko Bunuh Diri pada Mahasiswa Kesehatan di Kota Banda Aceh Sri Novitayani; Irfanita Nurhidayah
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.15780

Abstract

Background: Suicide is the main cause of death for students. Some studies report that half of college students have felt so depressed that they were useful. College life can be a time of high stress. This study aims to describe the risk of suicide in health students in Banda Aceh.Methods: This type of research is a quantitative research using a descriptive correlative method. The sampling technique in this study used purposive sampling with a sample of 171 students. Data collection method using Adult Suicidal Ideation Questionnaire (ASIQ).Result: The majority of respondents were health students from the Faculty of Nursing (67.3%), female (88.9%), 2016 class (50.9%), adult (90.6%), from high school (84 ,8%), both parents are still alive (85.4%), have parents who work as civil servants (52.6%), and live in a boarding house/rent (50.3%). The age of the students in this study was between 18 years to 23 years. The majority of health students at Syiah Kuala University experienced a low risk of suicide (87.7%).Conclusion : It can be concluded that health students have a suicide risk which is characterized by thoughts related to suicidal ideation, but these ideas rarely appear so that their suicide risk category is low.
Potensi Penularan Leptospirosis pada Petugas Rumah Pemotongan Hewan di Kota Salatiga Aryani Pujiyanti; Dimas Bagus Wicaksono Putro; Nimas Ayu Kartikasari
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.15122

Abstract

Background: Slaughterhouse workers have a risk of contracting leptospirosis because of daily contact with animal blood and urine. The purpose of the study was to describe the incidence of leptospirosis and measure the level of knowledge of workers and examine the relationship between demographic characteristics, the knowledge and the prevention behavior of leptospirosis.Methods: All technical staff of Slaughterhouse at Salatiga (30 people) were selected as participants. Data was collected in July 2016 through structured interviews. Microscopic Agglutination Test (MAT) was used to test the workers serum for leptospirosis. Data were analyzed using the Fisher-exact test.  Result: According to the findings, most respondents were male, between the ages of 26 and 50, and had low education background. Most respondents are unaware that leptospirosis is a serious disease and 73.3 percent of respondents had never heard of leptospirosis. The majority of participants reported negative MAT values. The majority of Slaughterhouse workers have never heard of leptospirosis and have little awareness of leptospirosis preventive methods, so they may be at risk of having the infection.Conclusion: There is no leptospirosis incidence in Slaughterhouse Salatiga, however, one worker had a history of leptospirosis exposure.There was no significant relationship between age, gender, and education level with knowledge and behavior, but the knowledge was significantly correlated with leptospirosis prevention behavior. Slaughterhouse officers are advised to receive health education about leptospirosis prevention to increase awareness of the need for self-protection in the workplace.
Keberadaan Residu Tetrasiklin pada Daging Ayam Broiler di Kabupaten Kudus (Studi di Pasar Tradisional dan Pasar Modern Tahun 2019) Sabilla Ananda Aulia; Dwi Sutiningsih; Henry Setyawan; Ari Udiyono
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.6918

Abstract

Background: One of the causes of antibiotic resistance is the presence of antibiotic residues in livestock, one of which is broiler chicken meat. Excessive use of antibiotics and not in accordance with the diagnosis will result in the discovery of antibiotic residue content in chicken meat and will endanger public health. The purpose of this study was to determine the description of the antibiotic residues of tetracycline in broiler chicken meat sold in traditional and modern markets in Jati District, Kudus Regency.Methods: This type of research is a descriptive observational study with a cross-sectional approach. The samples in this study were all broiler chicken meat sold in traditional markets (Bitingan Market, Sunggingan Ploso Market, and Baru Market) and in the modern Hypermart market with a total sample of 78 samples of broiler chicken meat taken with total population sampling technique. Sample testing was carried out at Balai Veteriner Boyolali using the Bioassay method.Result: Based on the results of the study, there is no tetracycline antibiotic residues were found in 78 (100%) broiler chicken meats sold in the Bitingan Market, Sunggingan Ploso Market, Baru Market, and Hypermart.Conclusion : There is no tetracycline antibiotic residues were found in broiler chicken meat sold in the Bitingan Market, Sunggingan Ploso Market, Baru Market, and Hypermart.
Pengaruh Dukungan Orang Dekat terhadap Kepatuhan Minum Obat pada Orang dengan HIV/AIDS (ODHA) di Kabupaten Madiun Puri Ratna Kartini; Agung Prabowo Wisnubroto; Yovita Aprilia Putri
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.12704

Abstract

Background: The proper and correct ARV therapy requires social support, especially from family and close people, in order to be able to reduce negative impacts of the infection.Methods: This study is an observational-analytic study to analyze the influence of support from close people for adherence to taking ARV drugs in PLWH in Madiun district. The research design used in this study was cross sectional with purposive sampling technique. Data was taken through interviews with respondents without giving any treatment. The sample in this study were patients who had been diagnosed with HIV positive for more than 6 months in 2018 which was randomly selected. The research location is the working area of the Local AIDS Eradication Commission (KPAD) of Madiun district. The study was conducted for 7 months, starting from June to December 2018.Result: From the results of bivariate analysis, it was concluded that the support from close people has influence on medication adherence in PLHIV (p = 0.000).Conclusion : From this research, it is expected to be an input for the government in determining health policy, especially to increase the rate of compliance with medication for PLWHA in Madiun district.
Treatment Outcome of Tuberculosis Cases and HIV Co-infected Patients. A Retrospective Study at a Federal Medical Centre of North Central Nigeria Thaddues Okonkwo Eze; Finian Chimezie Nwadinigwe; Gabriel Mathias Ameh
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.17221

Abstract

Background: Tuberculosis (TB) is the leading cause of death among people living with HIV/AIDS worldwide. Despite the availability of highly effective treatment for decades, Tuberculosis (TB) remains a major health problem in Nigeria due to the increasing association between HIV and TB observed over the past three decades when HIV was discovered. However, the proportion of TB and or TB/HIV co-infected patients who have successful TB treatment outcome is not well known. This study determined the treatment outcome of TB/HIV co-infected patients with HIV negative patients at Federal Medical Centre Makurdi, Benue State, Nigeria. Methods: A retrospective study that used secondary data from Directly Observed Treatment Short (DOTS) course center (APIN Unit). 268 cases were considered and the period under review covers from January, 2019 to December, 2021. Results: Out of the total 268 TB cases reviewed, the HIV prevalence rate was 28.7 %. More than two-third (78.4%) of HIV-negative patients had successful treatment compared to 68.9% of HIV positive patients that were treated successful.  Out of the 77 HIV co-infected patients, 10.4% defaulted, 14.2% had died, and 6.5% failed treatment compared to HIV-negative patients amongst whom 15.2% defaulted, 4.8% died and 1.6% failed treatment. TB/HIV co-infection was significantly associated with poor treatment outcome (AOR: 1.158; 95 % CI 0.617-2.173; p = 0.648).Conclusion: The favorable treatment outcome of HIV-negative patients is more than that of HIV-positive patients and the most probable predictable factor responsible is the CD4 count of patient; indicating that TB/HIV co-infection has remained a major public health problem in Benue state. Therefore, there is the need for sustained strengthening and expansion of the national TB/HIV programmes.
Prevalensi Anak Stunting di Kota Salatiga Tahun 2020 Brigitte Sarah Renyoet; Oktapianus Oktapianus; Dary Dary
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.13111

Abstract

Background: Stunting cases occur in several countries, especially poor and developing countries. Stunting is a growth disorder in children due to poor nutrition. Malnutrition occurs during the First 1000 Days of Life (HPK). The child's growth is disrupted so that the child will look short, and cognitive and motor development is hampered. The purpose of this research is to find out the prevalence of stunting children in Salatiga City.Methods: Cross-sectional descriptive method is used to describe the description of the phenomenon of stunting exposure by observing the population that occurs in Salatiga City in 2020. Data collection was obtained by measuring height and then the data was adjusted to PB / U or TB / U - 3 SD sd <- 2 SD (stunted) dan <-3 SD (severely stunted). The research data were then analyzed descriptively using Microsoft Excel and displayed in the form of tables and narratives. Data collection in this study was carried out in March-June 2021 in four sub-districts located in Salatiga City.Result: The results showed that the prevalence of stunting in Salatiga City in 2020 in children aged 0-60 months was 6,85%, the incidence of stunting was more common in males by 3,65%.Conclusion: The conclusion from this study, it is known that the prevalence of stunting in Salatiga City in 2020 reached 6.85%. The highest cases occurred in the male sex with a percentage of 3.65%. In terms of age, the highest incidence of stunting occurred in children aged over 25-60 months. 
Hubungan Hipertensi dengan Kejadian Gagal Ginjal Kronik di RSUD DR. Djasamen Saragih Kota Pematang Siantar Tahun 2020 Mai Debora Gultom; Mondastri Korib Sudaryo
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.11722

Abstract

Background: Chronic renal failure  (CRF) had became  a concern  because of the  increasing  globally for incidence, prevalence, and mortality and hypertension was  one of the main causes of CRF. magnitude of the risk of hypertension with chronic renal failure. This study aims to assess the magnitude of the risk of hypertension with chronic kidney failure at Dr. Djasamen Saragih City of Pematang Siantar.Methods: This research was an analytic observational study with a case control design. The research subjects were 260 kidney failure patients who were treated at RSUD Dr. Djasamen Saragih Kota Pematang Siantar with as many as 52 cases of patients diagnosed with chronic kidney failure by doctors who can be seen from medical records. As many as 208 hospital controls were patients without CRF (gastritis, gastroenteritis, hernia, and trauma or minor infections). The inclusion criteria of the study subjects were ≥ 18 years of age and had completed medical record data. The exclusion criteria for study subjects were if they had a history of kidney transplantation or a history of kidney transplantation and patients with incomplete medical records.Results: the results of the analysis of bivariate hypertension variables, patients aged > 45 years, patients with diabetes, patients with anemia, patients with gout, and patients with a history of kidney stones showed a relationship with the incidence of kidney failure. The multivariate results showed that the incidence of hypertension in patients with chronic renal failure was 5.52 times higher than those without chronic renal failure with an OR of 5.52 (95% CI: 2.10-14.53).Conclusion: Hypertension has a relationship with the incidence of chronic renal failure with an OR value of 5,52 (95% CI: 2.10-14.53).
Rhino-Orbito-Cerebral Mucormycosis (ROCM): An Observational Case Report of Covid-19 Positive Patients Admitted in Intensive Care Unit of Community Hospital in South India Chimezie Finian Nwadinigwe; Mateus Sakundarno Adi; Budi Laksono; Dwi Sutiningsih
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.16620

Abstract

Background: Rhino-orbito-cerebral mucormycosis (ROCM) increasing incidence in the setting of COVID-19 in India and elsewhere has become a matter of immediate concern. In this observational case report we have observed the signs and symptoms of ROCM among coronavirus positive patients with reference to “Mucor code “as reported by Honavar SG 2021, we have reported cases been admitted to ICU for <2weeks in a community hospital in South India. Method: Patient informed consent was taken, Patient’s data (Medical record, medication charts, daily report) were collected using a designed data collection form, observed warning signs and symptoms, and predisposed factors was noted and ROCM is characterized with reference to the “Mucor code”.Results: Nasal stuffiness, Foul smell and Facial pain and among others were the most coherent warning signs and symptoms observed among the patients in <2weeks of admission in ICU. Other observed predisposing risk factors were regular administration of corticosteroids, antibiotics, Diabetes Mellitus, Hypertension, and Kidney Stone.Conclusion: All the cases on preliminary examination on the basis of observed warning signs and symptoms were “Possible” ROCM a sub-type of Covid-19 associated mucormycosis (CAM), as this was the first reported case of the hospital. Our study gave basis for further diagnosis and monitoring of Covid-19 positive patient admitted in the intensive care units.
Gambaran Kecukupan Gizi pada Kehamilan Remaja di Kota Salatiga Brigitte Sarah Renyoet; Oktavia Corry; Rifatolistia Tampubolon
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.13000

Abstract

Background: Nutritional adequacy is one of the factors that affect the health of pregnant women and fetuses. Objective to describe the nutritional adequacy of adolescent pregnant women in Salatiga City.Methods: this study uses a mix method. The study population was all teenage pregnant women in Salatiga City. The sample is all pregnant women aged 12-16 years through total sampling technique. The instruments used were food records 2x24 hours and the SQ-FFQ form last one month for quantitative research, pens, recording tools and qualitative research log books. Quantitative data were analyzed using NutriSurvey 2007 software, qualitative data were analyzed through coding.Result: The level of macronutrient adequacy of adolescent pregnant women in Salatiga City mostly has a deficit of weight and more, namely carbohydrates (57.14%) and fat (85.71%). Most of the micronutrient adequacy levels are deficits, namely potassium (85.71%), calcium (100%), zinc (100%), iron (85.71%), folate (85.71%), vitamin B1 (100%) and vitamin E (57.14%).Conclusion: Research on the level of macronutrients adequacy of adolescent pregnant women in Salatiga City is mostly in the category of heavy and overweight deficits, namely carbohydrates and fats above 50%. The level of micronutrients adequacy in most of the deficit categories, namely potassium, calcium, zinc, iron, folate, vitamin B1 and vitamin E is above 50%. This is influenced by the imbalance of food intake consumed during pregnancy. This also results in weight gain of pregnant women not being ideal for weight gain during pregnancy, even though they have good nutritional status.

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